Status:

COMPLETED

The PRECISE Trial: Study of IL13-PE38QQR Compared to GLIADEL Wafer in Patients With Recurrent Glioblastoma Multiforme

Lead Sponsor:

INSYS Therapeutics Inc

Conditions:

Glioblastoma Multiforme

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

The purpose of the PRECISE trial is to determine whether overall survival duration, safety, and quality of life are improved for patients treated with IL13-PE38QQR compared to patients treated with GL...

Detailed Description

PRECISE is a Phase III clinical trial of experimental drug IL13-PE38QQR (Study Drug). IL13-PE38QQR is a tumor-targeting agent administered by a continuous infusion directly into the brain around the c...

Eligibility Criteria

Inclusion

  • Patients must be ≥ 18 years old.
  • Patients must have clinical and/or radiographic evidence of FIRST recurrence or progression of supratentorial GBM afer a previous resection or biopsy and external beam radiation therapy.
  • Patients must have histopathologic documentation of GBM at initial diagnosis.
  • Patients must have had previous cytoreductive surgery or biopsy for GBM.
  • Patients must have received external beam radiotherapy with ≥ 45 Gy tumor dose, completed ≥ 4 weeks prior to study entry.
  • Gross total resection (i.e., ≥ 95% resection of the solid, contrast-enhancing tumor component) must be planned.
  • Tumor must have a solid contrast-enhancing component ≥ 1.0 cm in diameter. Baseline measurements must be obtained ≤ 2 weeks prior to study entry.
  • Patients must be in adequate condition, as indicated by:
  • Karnofsky Performance Score ≥ 70,
  • Adequate hematologic status: i. Absolute neutrophil count (ANC) ≥ 1,500/mm3; ii. Hemoglobin ≥ 10 gm/dL; iii. Platelets ≥ 100,000/mm3; iv. PT and aPTT ≤ 1.5 x institutional upper limit
  • Patients must not be receiving concurrent anti-tumor therapy and must have recovered from toxicity of prior therapy. Minimum intervals required:
  • ≥ 6 weeks after receiving nitrosourea cytotoxic drug
  • ≥ 4 weeks after receiving any non-nitrosourea cytotoxic drug or any systemic investigational agent
  • ≥ 2 weeks after receiving any non-cytotoxic anti-tumor drug (including celecoxib or other drugs, if they are being used as anti-tumor therapies)
  • Patients must be willing to practice an effective method of birth control during the study. Female patients must not be pregnant or breast-feeding.
  • Patients or legal representative must understand the investigational nature of this study and sign a written informed consent form, approved by an Institutional Review Board (IRB) or an Independent Ethics Committee (IEC), prior to performance of any study-specific procedure

Exclusion

  • Patients with contrast-enhancing tumor component crossing the midline, multi-focal tumor not amenable to gross total resection, or tumor dissemination (subependymal or leptomeningeal).
  • Expected communication between ventricle and resection cavity that cannot be repaired in order to safely use GLIADEL® Wafer.
  • Patients with clinically significant increased intracranial pressure (e.g., impending herniation), uncontrolled seizures, or requirement for immediate palliative treatment.
  • Patients who have received any type of stereotactic radiosurgery or brachytherapy, with the exception of the stereotactic radiosurgery boost part of the initial fractionated external beam radiation therapy.
  • Patients who have received:
  • 1\) prior treatment with IL13-PE38QQR, or, 2) GLIADEL® Wafer, or, 3) any intracerebral investigational agent
  • Patients who have demonstrated a previous hypersensitivity to BCNU or any other component of the GLIADEL® Wafer.
  • Patients unwilling or unable to follow protocol requirements.

Key Trial Info

Start Date :

February 1 2004

Trial Type :

INTERVENTIONAL

End Date :

March 1 2007

Estimated Enrollment :

300 Patients enrolled

Trial Details

Trial ID

NCT00076986

Start Date

February 1 2004

End Date

March 1 2007

Last Update

June 6 2011

Active Locations (60)

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Page 1 of 15 (60 locations)

1

University of Alabama at Birmingham - Division of Neurosurgery

Birmingham, Alabama, United States, 35294-3410

2

City of Hope National Medical Center

Duarte, California, United States, 91010-3000

3

Los Angeles County/USC

Los Angeles, California, United States, 90033

4

Cedars-Sinai Medical Center - Neurological Institute

Los Angeles, California, United States, 90048